<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1,user-scalable=no">
		<meta name="apple-mobile-web-app-capable" content="yes">
		<meta name="apple-mobile-web-app-status-bar-style" content="black">
		<title>漳泽农商银行开门红活动</title>
		<link rel="stylesheet" href="css/weui.min.css">
		<link href="css/jquery-weui.min.css" rel="stylesheet" type="text/css">
		<link rel="stylesheet" type="text/css" href="css/font-awesome.css"/>
		<link rel="stylesheet" type="text/css" href="css/wx_cjxx.css"/>
		<script src="js/jquery-1.11.1.js"></script>
		<script type="text/javascript" src="js/jquery-weui.min.js"></script>
		<script type="text/javascript" src="js/base.js"></script>
		<style>
			.weui-toast{width:130px;height:120px}
			.weui-toast_content {
  				line-height:30px;
  				font-size:14px
				}
		</style>
	</head>
	<body style="width:100%;height:100vh;background:url(images/bg2.png) no-repeat;background-size:100% 100%;overflow-y: auto;box-sizing: border-box;padding-top:25px">
		<div class="banner">
			<h3>*请如实填写个人信息，实物奖品将采取邮寄得方式进行发放。</h3>
			<li class="item">
				<input type="text" placeholder="请输入您的姓名(必填)" name="name">
				<i class="fa fa-user" aria-hidden="true" ></i>
			</li>
			<li class="item">
				<input type="number" placeholder="请输入您的手机号(必填)" name="tel">
				<i class="fa fa-mobile-phone" aria-hidden="true" style="font-size:24px;top:8px"></i>
			</li>
			<li class="item">
				<input type="text" placeholder="请输入您的身份证号(必填)" name="IDCard">
				<i class="fa fa-id-card" aria-hidden="true"></i>
			</li>
			<li class="item">
				<input type="text" placeholder="请输入您的小区名称(必填)" name="xq">
				<i class="fa fa-hospital-o" aria-hidden="true"></i>
			</li>
			<li class="item">
				<input type="number" placeholder="请输入您的小区楼号,填写数字即可" name="lh">
				<i class="fa fa-hospital-o" aria-hidden="true"></i>
			</li>
			<li class="item">
				<input type="number" placeholder="请输入您的小区单元号,填写数字即可" name="dyh">
				<i class="fa fa-hospital-o" aria-hidden="true"></i>
			</li>
			<li class="item">
				<input type="number" placeholder="请输入您的小区房号,填写数字即可" name="fh">
				<i class="fa fa-university" aria-hidden="true"></i>
			</li>
			<div id="tjxx"><b>提交保存</b></div>
		</div>
		<script src="js/importJs.js"></script>
	</body>
</html>
